Individual provider Active NPI

Sapandip Kaur Walia, FNP

  • Primary Care Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1174084644
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95010987 Issued in CA
Practice address
2825 Capitol Ave # 6
Sacramento, CA 95816-6039
Phone
(916) 887-0000
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95010987 CA Primary

Addresses

Primary practice location

2825 Capitol Ave # 6
Sacramento, CA 95816-6039

Mailing address

2825 Capitol Ave
Sacramento, CA 95816-6039

Other practice location 1

576 N Sunrise Ave Ste 210
Roseville, CA 95661-2847
Phone (916) 786-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427002546 CA Practitioner - Nurse Practitioner 2466867247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2 Medical Plaza Dr
Roseville, CA 95661-3042

2800 L St
Sacramento, CA 95816-5616

3288 Bell Rd
Auburn, CA 95603-9243
Phone (530) 886-2300

3320 Bell Rd
Auburn, CA 95603-9243
Phone (530) 888-1266

Hospital & facility affiliations

  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Hospitals CurrentSince Jan 20, 2021 Accepting new patients
Sutter Valley Hospitals Current Accepting new patients
Sutter Valley Hospitals CurrentSince Jan 20, 2021 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2022 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

2825 Capitol Ave
#6
Sacramento, CA 95816
Phone (916) 887-0000

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1625 Stockton Blvd
Ste 112
Sacramento, CA 95816
Phone (916) 887-4001

2800 L St
Ste 600
Sacramento, CA 95816
Phone (916) 454-6850

Interoperability endpoints

  • Direct secure messaging: swalia409874@hisp.ehr.sutterhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1174084644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 CAPITOL AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 CAPITOL AVE # 6",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166039",
            "telephone_number": "916-887-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 N Sunrise Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612847",
            "country_code": "US",
            "telephone_number": "916-786-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALIA",
        "first_name": "SAPANDIP",
        "middle_name": "KAUR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95010987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.